EDI Trading Partner Information Guide

The Information Guide serves as the first point of reference for all trading partners. Please use it with any of the Companion Guides listed below. Please check this Web page for updates to the Information Guide and all other materials listed below.

MITS Companion Guides
The following guides are HIPAA compliant and are part of the ODJFS MITS EDI Program.

1. MITS 270 Eligibility, Coverage or Benefit Inquiry
2. MITS 271 Eligibility, Coverage or Benefit Information
3. MITS 276 Health Care Claim Status Request
4. MITS 277 Health Care Claim Status Notification
5. MITS 824 Application Advice
6. MITS 835 Health Care Claim Payment/Advise
7. MITS 837D Dental Claims
8. MITS 837I Institutional Claims
9. MITS 837P Professional Claims
10. MITS U277 Unsolicited Health Care Claim/Encounter Status Notification
    

Companion Guides
The following guides are HIPAA compliant and are part of the ODJFS EDI Program.   

1. 837 Health Care Claim Institutional
2. 837 Health Care Claim Professional
3. 837 Health Care Claim Dental
4. 835 Health Care Claim Payment Advice
5. 270 Eligibility, Coverage or Benefit Inquiry
6. 271 Eligibility, Coverage or Benefit Information
7. 276 Health Care Claim Status Request
8. 277 Health Care Claim Status Notification
9. 820 Premium Payment
10. 834 Monthly Member Roster
11. 278 Health Care Services Review Information - Request
12. 278 Health Care Services Review Information - Response

Other Required Transactions:

1. 824 Application Advice
2. 277 Unsolicited Health Care Claim Status Notification
3. 997 Functional Acknowledgement